Improvisational therapy: Evolving one's own clinical style

This article offers an invitation to develop one's own unique clinical style, relying less on institutionalized schools of therapy and more on the therapist's own natural resources. An emphasis is placed upon understanding therapy as art, trusting one's imagination, and maintaining a healthy irreverence for professional politics.     

Family coping strategies and the rural Appalachian working poor

Naturalistic research methods were used in this study to collect the voices, ideas, and opinions of rural, working poor, Appalachian families from Southeast Ohio about the stress of poverty in family life and family coping in the face of poverty. This data should be of interest to the professional family therapist who practices with the working poor.     

Live supervision in the postmodern era of family therapy: Issues,reflections, and questions

This article asserts that the family therapy field is approaching an epistemological shift from structuralism and positivism to postmodernism and relativism. The confluence of these movements: feminism, constructivism/constructionism, and cultural relativism is cited as a major impetus for the shift. Live supervision is examined within the context of this transformation, with a discussion of implications for the future.     

Supervising the person of the therapist: Issues,challenges and dilemmas

A major critical issue in marriage and family therapy today is the professionalization of the discipline. Thus the focus on training individuals for a career in marriage and family therapy necessitates the revisitation of the debate over personal growth versus skill development. The trend toward training the person of the therapist, however, would suggest that the field is moving toward the integration of self awareness and skill in the therapeutic system. With the popularization of training the person of the therapist comes other issues, challenges, and dilemmas for the field, including the crucial issue of training gender and culturally sensitive therapists. The potential for creating dual relationships when training the person of the therapist is both a dilemma and a challenge.     

Sado-masochism as a defense against merging: Six case studies

This paper reports on several patients who use sado-masochism as a defense against an unconscious wish for and fear of merging. The sado-masochism can be expressed as a sexual perversion or in a difficult ungratifying interpersonal relationship. These relationships have some of the quality of addictions in that the patients have a compulsive need to continue them and find it extremely difficult to leave them. Therapy must focus on helping the patient become more separate, rather than on other problems which may also be present. Initially, the therapist needs to take an educational stance in regard to the process the patient must complete, rather than the more traditional analytic stance.     

Physique Contrast Effect: Adverse Impact of Idealized Body Images for Women

Adherence to an attractiveness ideal was considered as a possible mediator of a physique contrast effect among Caucasian women. Following exposure to photographs of models typifying idealized thin physiques, women displayed decreased self-esteem and increased self-consciousness, social physique anxiety, and body dissatisfaction. Although women with low adherence to an attractiveness ideal seemed to be advantaged by having greater self-esteem, less self-consciousness, and lower physique anxiety or dissatisfaction than their high adherence counterparts, these women did not display any unique resistance to the contrast effect. High affirmation of an attractiveness ideal was associated with exceptionally high potential for disordered eating. Eating disorder potential did not show influence of the contrast effect, but long-term implications were considered.     

The assessment of gender role stress for Chinese

The present study aimed to extend the generality of the construct of gender role stress (GRS) to Chinese samples. Specific objectives included (1) devising Chinese versions of the Masculine Gender Role Stress Scale (MGRS) and Feminine Gender Role Stress Scale (FGRS) developed by Eisler and his colleagues (2) examining the relationship between GRS and gender role orientation, and (3) evaluating the concurrent validity of GRS by correlating it with a measure of health adjustment. Fifty-one male and 58 female Chinese college students in Hong Kong participated in Study 1, which aimed to develop Chinese versions of the two GRS scales. Similar to Americans, Chinese male students scored higher on the MGRS scale, but lower on the FGRS scale than Chinese female students. Students' scores on the two GRS scales were independent from their global ratings of stereotypic masculinity and femininity. A second sample, consisting of 46 male and 73 female Chinese nurses, was recruited for Study 2, which evaluated the association between GRS and health adjustment. As hypothesized, a high level of MGRS or FGRS was positively related to a high level of health and mental health disturbances for both male and female nurses.This study was funded in part by the Asia Scholarship for Research on Women 1992/93 of the United Board for Christian Higher Education. The authors would like to thank Professor Richard M. Eisler for his permission to translate the MGRS and FGRS scales into Chinese, and the Association of Hong Kong Nurses for their assistance in data collection.     

Stories for therapy: The right story to the right person at the right time

In the postmodern information era with its increasing complexity and demands on my time, I find storytelling increasingly attractive. The right story told to the right person(s) at the right time in the right way can powerfully define and shape both individuals and the systems into which they organize themselves. As interventions go, I find stories to be relatively high impact, low-risk, parsimonious, and user-friendly. This paper contains some of my favorite teaching stories and describes why and how I use them as both a family therapist and teacher of family therapy.     

The self-narrative and acute psychosis

The aim of this study was to apply the narrative approach in analyzing family therapy meetings in cases of acute psychosis. The self-narrative is essential in acute psychosis since it is either collapsed or not coherent enough. The results indicate that it is important to create concrete practices that produce stories concerning the patient in relation to others. The self-narrative must be re-authored by the patient even though it is socially constructed. This is achieved by creating multiple perspectives of self-narratives in so-called therapy meetings with the patient, family members, and staff members representing different professionals.